Pre-Employment Screening Among Health Care Workers—Ethical Issues

Occupational health practitioners deal with the questions of confidentiality, relation between the right to work and the right to health, between individual freedom and the risks other can run. An audit of pre-employment health assessment of health care workers, in the United Kingdom and in France, discussed the efficiency of pre-employment screening. Screening tests and medical examinations should not be used as a pretext to avoid implementing effective preventive measures. The pre-employment examination has mostly to be used for education of the future employees and for collection of baseline data. Appropriate procedures such as developing preventive policies, health promotion, and control of hazards in the work environment are efficient for the promotion of equal employment rights for women, older workers, or people with disabilities.     

Arm and Leg Girths of Industrial Workers During a Workday

The aim of this study was to characterize changes in the limb perimeters of workers in various widespread occupations in Estonian industry. Investigations were carried out using special measuring instruments designed at Tallinn Technical University. The subjects under investigation consisted of 202 workers: garment workers, tailoring cutters, shoe factory operators, weavers, press operators, fitters, and drivers.

Investigations in the workshops showed that during the initial part of a work-shift perimeters often decreased. By the end of the shift, girths increased markedly (up to 1.6%), depending on the properties of the external load. There are many reasons for this change, with fatigue often playing an important role.

The exact measurement of the girths of human limbs is of great importance for collecting information in the field of ergonomics. It is possible to find effective preventive measures against fatigue and occupational diseases.     

Monitoring of Daily Integrated Exposure of Outdoor Workers to Respirable Particulate Matter in an Urban Region of India

It is more and more recognised that an estimation of the exposure of the population to air pollutants is more relevant than the ambient air quality, since it gives a better indication of health risk. Outdoor workers in an urban region are generally of low income status and are exposed to higher levels of both indoor and outdoor air pollution. Hence respondents from this population subgroup have been selected for this study. Outdoor workers are divided into two categories, viz. traffic constables and casual outdoor workers like watchmen, roadside shopkeepers etc. Most of the respondents are from the lower income group. Each respondent is monitored for a continuous 48-hour period. The sampling frequency is once a week.The study region is situated in the north-west part of the Greater Mumbai Municipal Corporation. It can be classified as industrial cum residential area. The daily integrated exposure of the outdoor workers consists of two major micro-environments, viz. occupational and indoor residential.A personal air sampler was used along with a cyclone to measure levels of Respirable Particulate Matter (RPM). The cyclone has a 50% removal efficiency for particle diameter of 5 m. Paired samples of PM10 (ambient) and RPM (personal) were collected to establish the correlation between them. The average 24-hour integrated exposure to RPM was 322 g/m3 and exceeded the corresponding PM10 level observed at the nearest Ambient Air Quality Monitoring Station by a factor of 2.25. The 90% confidence interval for this exposure is 283–368 g/m3. This study clearly demonstrates that the daily integrated exposure and therefore the health risk of outdoor workers in an urban area is significantly more serious than that indicated by ambient air quality data.     

Psychosocial and ergonomic survey of office and field jobs in a utility company

Introduction. The effect of different kinds of work on the psychosocial assessment of workers under the same management and organizational environment is investigated. Methods. A voluntary assessment in a utility company was carried out using the short version of the Copenhagen psychosocial questionnaire (CoPsoQ) on two occasions, 1.5 years apart. Initially, 25 office workers (11 men and 14 women) participated, while 14 of those workers (8 women and 6 men) participated in the second assessment together with 32 field workers. The sewage, water treatment and maintenance workers, totaling 32 men, also participated in a field ergonomics assessment using the Washington State Department of Labor and Industries field work ergonomic checklist. Results. The longitudinal outlook was fairly stable, with sustained severe scores in many CoPsoQ subscales and intensification of severity of workers’ control over work and esteem for men. A significantly higher esteem score resulted for field rather than office workers. Workers subjected to foul odors showed similar severity of psychosocial factors. Discussion. For most psychosocial dimensions, the organizational design and management system in place, as well as the overall cultural environment in which it operates, create a much stronger and more decisive impact than job-specific factors.